Patient Forms

To speed your first visit, please download and print the

New Patient Forms.

  • Complete the forms and bring them with you to your initial visit along with your insurance card(s), if you have health insurance which may provide chiropractic benefits.
  • For those with health insurance, an insurance release form is provided for general health insurance carriers with a separate form to be completed by Medicare recipients.
  • Please complete and sign the insurance release form which applies to you so that our office may file your claims with your insurance carrier.
  • Dr. Prestwich is a Preferred Provider with BlueCross/BlueShield of TN, CIGNA, PCHS Multi-Plan, and Medicare.
  • For payment of services, Dr. Prestwich accepts Cash, Personal Checks and Visa, M/C, AmEx and Discover Credit Cards.